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Evaluating communication and clinical skills in objective structured clinical examination (OSCE) using a low-cost
Yu-Ching Liu1,2, I-Ching Liao3, Ching-Yi Wu4
1Division of Periodontics, Department of Dentistry, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
Background/Purpose:
This study used a neck-mounted mobile phone from a first-person perspective to record the performance of dental interns in an objective structured clinical examination (OSCE) to evaluate the effectiveness of video feedback and to assess medical communication and clinical skills.
Materials And Methods:
Standardized patients wore neck-mounted mobile phones to record the examination process from a first-person perspective (FPP). Pre- and post-test questionnaires measuring anxiety, impacts on communication skills and performance, distraction, technical challenges, feedback received from video, and educational value of the neck-mounted phones were completed by dental interns. The questionnaires were scored on a four-point scale to compare the differences based on gender and between pre- and post-test scores.
Results:
This study recruited 30 dental interns to assess the use of neck-mounted phones during an OSCE. The comparison of pre- and post-test questionnaires showed significant improvements in expectations for increased usage and agreements on the value of education and significant differences in reduced distraction and performance concerns. Both male and female post-test groups scored higher with significant improvements. In the post-test questionnaire, female group showed significant differences in perceptions of negative performance impacts and willingness to use this device, while male group showed a significant anxiety reduction.
Conclusion:
FPP videos can be used to evaluate oral communication skills in doctor-patient interactions, enhance empathy, and contribute to holistic care.
